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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
Summary: Revises the operationalization of the Graduate Medical Education distribution authorized in the state's 1115 Comprehensive Waiver's Special Terms and Conditions October, 2012 (and amended in December 2013).
Summary: This SPA provides Behavioral Health Home Services to children under the age of 21 in Bergen County by enhancing the current care management team within the Care Management Organizations.
Summary: Establishment of Puerto Rico poverty level (PRPL) for non-ABO (aged, blind, and disabled) coverage groups, expansion of income threshold to 133% of PRPL for R(2) groups.
Summary: This SPA incorporates MAGI-Based Eligibility Groups and AFDC Income Standards into Puerto Rico's state plan in accordance with the Affordable Care Act.
